Usefulness of Cardiac Magnetic Resonance in the Diagnosis of Löffler Endocarditis Secondary to Eosinophilic Granulomatosis with Polyangiitis
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- Kurokawa Kana
- Department of Respiratory Medicine, Juntendo University Graduate School of Medicine, Japan
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- Sai Eiryu
- Department of Cardiovascular Medicine, Juntendo Tokyo Koto Geriatric Medical Center, Japan Department of Cardiovascular Medicine, Juntendo University Graduate School of Medicine, Japan
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- Hayashi Eri
- Department of Internal Medicine and Rheumatology, Juntendo Tokyo Koto Geriatric Medical Center, Japan
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- Minowa Kentaro
- Department of Internal Medicine and Rheumatology, Juntendo Tokyo Koto Geriatric Medical Center, Japan
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- Sugano Koji
- Department of Respiratory Medicine, Juntendo Tokyo Koto Geriatric Medical Center, Japan
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- Yoshihara Takuma
- Department of Cardiovascular Medicine, Juntendo Tokyo Koto Geriatric Medical Center, Japan Department of Cardiovascular Medicine, Juntendo University Graduate School of Medicine, Japan
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- Miyazaki Tadashi
- Department of Cardiovascular Medicine, Juntendo Tokyo Koto Geriatric Medical Center, Japan Department of Cardiovascular Medicine, Juntendo University Graduate School of Medicine, Japan
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- Hiki Makoto
- Department of Cardiovascular Medicine, Juntendo University Graduate School of Medicine, Japan
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- Yokoyama Takayuki
- Department of Cardiovascular Medicine, Juntendo University Graduate School of Medicine, Japan
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- Suzuki Masaru
- Department of Radiology, Juntendo Tokyo Koto Geriatric Medical Center, Japan
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- Miyauchi Katsumi
- Department of Cardiovascular Medicine, Juntendo Tokyo Koto Geriatric Medical Center, Japan Department of Cardiovascular Medicine, Juntendo University Graduate School of Medicine, Japan
抄録
<p>A 40-year-old man who was diagnosed with bronchial asthma and eosinophilia was transferred to our hospital due to a worsening respiratory status. He was diagnosed with eosinophilic granulomatosis with polyangiitis (EGPA), and eosinophilic pneumoniae. Cardiac magnetic resonance (CMR) imaging indicated Löffler endocarditis. Treatment was initiated using intravenous methylprednisolone, cyclophosphamide, and heparin as anticoagulation therapy. Three months later, CMR showed the improvement of the LV myocardium. </p><p>In this case, the early diagnosis of Löffler endocarditis by CMR could prevent systemic embolism and CMR was useful for assessing the curative effects of steroid and immunosuppressant therapy. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 58 (2), 239-242, 2019-01-15
一般社団法人 日本内科学会